Hitna stanja u psihijatriji u ordinaciji liječnika obiteljske medicine

master's thesis

• Title (english): Psychiatric emergencies in general practice
• Author: Nives Puljko
• Mentor: Miroslav Herceg (mentor)
• Committee member: Zlata Ožvačić Adžić (predsjednik povjerenstva)
• Committee member: Dražen Begić (član povjerenstva)
• Committee member: Miroslav Herceg (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

Hitno stanje u psihijatriji svako je stanje koje zahtijeva neodgodivu terapijsku intervenciju, a očituje se kao akutni poremećaj mišljenja, pažnje, raspoloženja, ponašanja ili socijalnih odnosa. Znatan broj psihijatrijskih hitnih stanja javlja se u ustanovama koje nisu specijalizirane isključivo za zbrinjavanje psihijatrijskih poremećaja kao što su ordinacije liječnika obiteljske medicine. Budući da se svaki liječnik obiteljske medicine može susresti s psihijatrijskim poremećajima koji zahtijevaju hitnu intervenciju, od iznimne je važnosti postojanje primjerene stručne osposobljenosti obiteljskih liječnika u pogledu dijagnostičkih postupaka te zbrinjavanja hitnih psihijatrijskih stanja. Mogućnost zbrinjavanja određenih hitnih psihijatrijskih stanja na primarnoj razini omogućava brzi pristup psihijatrijskom tretmanu koji može spriječiti ozbiljne posljedice po zdravlje, nepotrebnu tjeskobu pacijenata i članova njihovih obitelji kao i negativne socijalne, obrazovne i profesionalne posljedice koje proizlaze iz neliječenih mentalnih stanja. Specijalistički obrazovan liječnik obiteljske medicine osposobljen je pružiti hitnu intervenciju na razini primarne zdravstvene zaštite kod bolesnika s hitnim psihijatrijskim stanjima, pri čemu je od velike pomoći poznavanje bolesnika u skrbi. Zbog svog specifičnog položaja u zdravstvenom sustavu koji obuhvaća prvi kontakt s pacijentom i kontinuirano praćenje, liječniku obiteljske medicine omogućeno je istovremeno postavljanje dijagnoze, učinkovito liječenje i praćenje bolesnika. U radu su opisana pojedina hitna stanja u psihijatriji, uz kratki pregled o etiologiji, epidemiologiji, kliničkoj slici i terapijskim mogućnostima u okviru obiteljske medicine.

Abstract (english)

An emergency in psychiatry is any condition that requires immediate therapeutic intervention and manifests as an acute disorder of thinking, attention, mood, behavior or social relationships. A significant number of psychiatric emergencies occur in institutions that do not specialize exclusively in the management of psychiatric disorders, such as family physicians. Since any family doctor can encounter psychiatric disorders that require urgent intervention, it is extremely important to have adequate professional training of family physicians in terms of diagnostic procedures and care for emergency psychiatric conditions. Having the possibility of managing certain emergencies at the primary level enables rapid access to psychiatric treatment which can prevent unnecessary anxiety of patients and their family members, as well as negative social, educational and professional consequences arising from untreated mental conditions. A specialist educated family medicine physician is trained to provide emergency intervention at the level of primary health care in patients with emergency psychiatric conditions, with knowledge of the patient in care being of great help. Due to his specific position in the health system, which includes the first contact with the patient and continuous monitoring, the family doctor is able to simultaneously diagnose, effectively treat and monitor the patient. The paper describes an individual psychiatric emergency, with a brief overview of the etiology, epidemiology, clinical picture and therapeutic possibilities within family medicine.

• Keywords: hitna stanja; obiteljski liječnik; psihijatrija; terapijske intervencije
• Keywords (english): emergencies; family physician; psychiatry; therapeutic interventions
• Language: croatian
• URN:NBN: urn:nbn:hr:105:101116
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-07-30 10:32:44